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General NPI Number Information
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NPI Number | 1932656485
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Entity Type | Individual
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Provider Name | STEVEN BELLO
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Gender | Male
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 4 RIDGEWOOD PKWY
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4415
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Country | US
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Telephone | 757-886-6530
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Fax |
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Provider Business Mailing Address
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Address Line | 335 KELLYS CT
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City | KING WILLIAM
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State | VA
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Zip | 23086-3458
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Country | US
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Telephone | 804-822-1246
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 2306001547
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License Number State | VA
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